- Assess neurovascular function as in #1 above.
- Place the ankle device over the ankle.
- Place the proximal end of the traction splint on the posterior side of the affected extremity, being careful to avoid placing too much pressure on genitalia or open wounds.
- Make certain the splint extends proximal to the suspected fracture. If the splint will not extend in such a manner, reassess possible involvement of the pelvis
- Extend the distal end of the splint at least 6 inches beyond the foot.
- Attach the ankle device to the traction crank.
- Twist until moderate resistance is met.
- Reassess alignment, pulses, sensation, and motor function. If there has been deterioration in any of these 3 parameters, release traction and reassess.
- Document the time, type of splint, and the pre and post assessment of pulse, sensation, and motor function in the patient care report (PCR).